Diaz 2018.

Study characteristics
Methods	Cluster RCT
Participants	Pediatric emergency and urgent departments, two children’s hospitals, Delaware Valley and FL, USA (Nemours Children’s Health System) 50 patients, 28 physicians
Interventions	Prompts physicians to perform a neurovascular and musculoskeletal examination for patients with suspected elbow fracture
Outcomes	Process adherence (documentation)
Co‐Interventions	Educational: Single educational session for providers in both the control and intervention groups Beyond Clinician Education: Audit and feedback in both the control and intervention groups
CDSS Features ‐ Acknowledgement of CDSS Required	Yes ‐ required acknowledgement of the CDSS but not documentation of action taken
CDSS Features ‐ Other	Conveyed patient‐specific information, decision support was complex, developed by study investigators, included supporting information on‐screen, interruptive, makes care recommendation, possible to execute desired action, 'push' mode of delivery, targeted underuse, user workflow considered in design
Notes
Risk of bias
Bias	Authors' judgement	Support for judgement
Allocation concealment (selection bias)	Low risk
Incomplete outcome data (attrition bias) All outcomes	Low risk
Baseline characteristics similar?	Unclear risk	N/A
Unit of analysis error	High risk